Individual provider Active NPI

Waleola Adebowale

  • Nurse's Aide
  • Richmond, TX
National Provider Identifier
1194976258
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
08231968 Issued in TX
Practice address
18438 Austin Oak LN
Richmond, TX 77407-2276
Phone
(240) 486-3494
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 08231968 TX Primary

Addresses

Primary practice location

18438 Austin Oak LN
Richmond, TX 77407-2276

Mailing address

17639 Trinity Meadow LN
Richmond, TX 77407-1987
Phone (240) 486-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08231968TXMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
St Patrick Inc CurrentSince Apr 19, 2020 Accepting new patients
Freightline Logistics, Inc Past Accepting new patients

Locations

12808 W Airport Blvd
Ste 327
Sugar Land, TX 77478
Phone (832) 228-0290

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1194976258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17639 TRINITY MEADOW LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071987",
            "telephone_number": "240-486-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18438 AUSTIN OAK LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072276",
            "telephone_number": "240-486-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBOWALE",
        "first_name": "WALEOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "08231968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.